Individual
ELENA GRACE CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7000
Mailing address
2213 W BIJOU ST, COLORADO SPRINGS, CO 80904-3443
(434) 218-9788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401420036
VA
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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